Distributional Cost-Effectiveness: Putting Money Where Your Mouth Is on Health Equity
Authors: Richard Cookson
Journal: Annals of Internal Medicine (2023)

EditorialsJune 2023Distributional Cost-Effectiveness: Putting Money Where Your Mouth Is on Health EquityRichard Cookson, PhDRichard Cookson, PhDCentre for Health Economics, University of York, York, United KingdomAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M23-1145 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail The COVID-19 pandemic sparked substantial talk about health equity (1) and the potential role of medical innovation in reducing health disparities (2). But talk is cheap. Health care payers, policymakers, and the life sciences industry must now put their money where their mouth is by investing more of the vast resources at their disposal into equity-enhancing technologies with measured impacts on reducing disparities in health between more and less socially advantaged groups.Primarily, this will require sustained political leadership and social solidarity. However, it will also require reliable quantification of the health equity impacts of interventions, of the kind that ...References1. Bibbins-Domingo K. This time must be different: disparities during the COVID-19 pandemic. Ann Intern Med. 2020;173:233-234. [PMID: 32343767] doi:10.7326/M20-2247 LinkGoogle Scholar2. Agboola F, Whittington MD, Pearson SD. Advancing Health Technology Assessment Methods that Support Health Equity. Institute for Clinical and Economic Review; 15 March 2023. Google Scholar3. Goshua G, Calhoun C, Ito S, et al. Distributional cost-effectiveness of equity-enhancing gene therapy in sickle cell disease in the United States. Ann Intern Med. 2023;176:779-787. [10.7326/M22-3272] Google Scholar4. Cookson R, Griffin S, Norheim O, et al, eds. Distributional Cost-Effectiveness Analysis: Quantifying Health Equity Impacts and Trade-Offs. Oxford Univ Pr; 2021. Google Scholar5. Cookson R, Griffin S, Norheim OF, et al. Distributional cost-effectiveness analysis comes of age. Value Health. 2021;24:118-120. [PMID: 33431145] doi:10.1016/j.jval.2020.10.001 CrossrefMedlineGoogle Scholar6. Cookson R, Griffin S. Distributional cost-effectiveness analysis (DCEA). Accessed at www.york.ac.uk/che/research/equity/distributional-cost-effectiveness-analysis on 26 April 2023. Google Scholar7. Cookson R, Schneider P, Love-Koh J. Health Equity Impact Calculator. Accessed at https://shiny.york.ac.uk/dceasimple on 17 April 2023. Google Scholar8. Kowal S, Ng CD, Schuldt R, et al. The impact of funding inpatient treatments for COVID-19 on health equity in the United States: a distributional cost-effectiveness analysis. Value Health. 2023;26:216-225. [PMID: 36192293] doi:10.1016/j.jval.2022.08.010 CrossrefMedlineGoogle Scholar9. Dickman SL, Himmelstein DU, Woolhandler S. Inequality and the health-care system in the USA. Lancet. 2017;389:1431-1441. [PMID: 28402825] doi:10.1016/S0140-6736(17)30398-7 CrossrefMedlineGoogle Scholar10. Cookson R, Doran T, Asaria M, et al. The inverse care law re-examined: a global perspective. Lancet. 2021;397:828-838. [PMID: 33640069] doi:10.1016/S0140-6736(21)00243-9 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Richard Cookson, PhDAffiliations: Centre for Health Economics, University of York, York, United KingdomDisclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M23-1145.Corresponding Author: Richard Cookson, PhD, Centre for Health Economics, University of York, Heslington, York, YO10 5DD, United Kingdom; e-mail, richard.[email protected]ac.uk.This article was published at Annals.org on 30 May 2023. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoDistributional Cost-Effectiveness of Equity-Enhancing Gene Therapy in Sickle Cell Disease in the United States George Goshua , Cecelia Calhoun , Satoko Ito , Lyndon P. James , Andrea Luviano , Lakshmanan Krishnamurti , and Ankur Pandya Major Update: Masks for Prevention of SARS-CoV-2 in Health Care and Community Settings—Final Update of a Living, Rapid Review Roger Chou , and Tracy Dana Metrics Current IssueJune 2023Volume 176, Issue 6Page: 866-867KeywordsGene therapyHealth careHealth disparitiesHealth equityInformation storage and retrievalPatientsPrevention, policy, and public healthSickle cell disease ePublished: 30 May 2023 Issue Published: June 2023 Copyright & PermissionsCopyright © 2023 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...